East Central Regional Hospital
LBN: Department Of Behavioral Health And Developmental Disabilities
East Central Regional Hospital is an health care organization with primary practice located at 100 Myrtle Blvd , Gracewood GA 30812-1500. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty.
Department Of Behavioral Health And Developmental Disabilities can be contacted via phone (706) 790-2030, or through Brock, Paul via phone (706) 790-2030.
Contact Information
Primary practice address
100 Myrtle Blvd
Gracewood GA 30812-1500
Phone: (706) 790-2030
Fax: (706) 790-2025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | 2-121-792 | Georgia |
Profile Details
| NPI number | 1699000703 |
|---|---|
| LBN Legal business name | Department Of Behavioral Health And Developmental Disabilities |
| DBA Doing business as | East Central Regional Hospital |
| Authorized official | Brock, Paul |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2009 |
| Last updated | May 20th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699000703 | NPPES |
| Georgia | MEDICAID | 000141204A |
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